NPPES file of Aug 9, 2026

Loretta Keese, PA

Physician Assistant · Fredericksburg, TX

Loretta Keese, PA is a physician assistant with a practice address in Fredericksburg, Texas, and NPI 1790704963, issued on Jul 19, 2006. Check the license (Texas PA04251, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790704963
Name
Loretta Keese
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License number
PA04251 TX
Self-reported in NPPES; status is on the state search
Practice location
1308 South Highway 16, Fredericksburg, TX 78624
Phone
(830) 997-2181
Enumerated
Jul 19, 2006
Record last updated
Apr 4, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(830) 997-9598
Medicaid ID
210476201 TX
Medicare enrollment
Enrolled (PECOS I20100301000765); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1308 South Highway 16

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rebecca Daley, D.O.Family Medicine Physician1356348288
  2. Emily Evans, MS, RN, FNP-BCFamily Nurse Practitioner1033366109
  3. Kathleen Fryburger, P.A.Physician Assistant1053396077
  4. Jeffrey Holt, MDFamily Medicine Physician1700090826
  5. John Kothmann, M.D.Family Medicine Physician1780624502
  6. Ottis Layne, MDFamily Medicine Physician1902967128

Verify Loretta Keese in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license PA04251
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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5.7 times the Medicare Part D claims of the average physician assistant in 2024

4,728 Medicare Part D claims for 300 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 98 claims were for opioids.

  1. Loretta Keese4,728
  2. Specialty average830

Most prescribed

  1. Atorvastatin Calcium363 claims
  2. Levothyroxine Sodium327 claims
  3. Lisinopril191 claims
  4. Losartan Potassium146 claims
  5. Amlodipine Besylate117 claims
  6. Gabapentin112 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $921.62

55 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Loretta Keese$921.62
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Privia Medical Group Gulf Coast PLLCHouston, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Loretta Keese among 10,999 physician assistant records in Texas

Loretta Keese, PA is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 86% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 55% of these records are
  • Graduated2004 · median 2017 among the 6,096 with a school on file
  • Record last updated2011 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

7 physician assistant records list a practice address in Fredericksburg

They are 7 of the 331 NPPES records with a practice address in Fredericksburg, and 10,999 physician assistant records in Texas.

The 8 physician assistant records with the nearest ZIP codes

  1. Amy Beicker, PAFredericksburg, TX 786241871732073
  2. Kristina Crawford, PA-CFredericksburg, TX 786241659668069
  3. James Crawford, PA-CFredericksburg, TX 786241457690489
  4. Kathleen Fryburger, P.A.Fredericksburg, TX 786241053396077
  5. Abigail Simpson, PA-CFredericksburg, TX 786241730631276
  6. Curtis Stubblefield, PA-CFredericksburg, TX 786241790089910
  7. Rhonda Campbell, PA-CGeorgetown, TX 786261245273192
  8. Mary Jo Hart, PA-CGeorgetown, TX 786261760485932

Common questions

What is Loretta Keese, PA's NPI number?

Loretta Keese, PA's National Provider Identifier (NPI) is 1790704963, issued on Jul 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Loretta Keese, PA located?

The NPPES record lists a practice address at 1308 South Highway 16, Fredericksburg, TX, 78624. Phone: (830) 997-2181. Providers update this record themselves, so call before visiting.

How can I verify Loretta Keese, PA's license?

NPPES lists Texas license number PA04251, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Loretta Keese, PA prescribe under Medicare Part D?

In 2024, Loretta Keese, PA had 4,728 Medicare Part D claims for 300 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.